Hollenbeck Palms - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55115
Provider Name
HOLLENBECK PALMS
Provider Address
573 S. BOYLE AVE.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
Provider Phone Number
2132683655
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLLENBECK PALMS
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.64634
Reported LPN Staffing Hours per Resident per Day
0.95549
Reported RN Staffing Hours per Resident per Day
0.59451
Reported Licensed Staffing Hours per Resident per Day
1.55000
Reported Total Nurse Staffing Hours per Resident per Day
5.19634
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15305
Expected CNA Staffing Hours per Resident per Day
2.46494
Expected LPN Staffing Hours per Resident per Day
0.56635
Expected RN Staffing Hours per Resident per Day
0.85621
Expected Total Nurse Staffing Hours per Resident per Day
3.88750
Adjusted CNA Staffing Hours per Resident per Day
3.62972
Adjusted LPN Staffing Hours per Resident per Day
1.40028
Adjusted RN Staffing Hours per Resident per Day
0.51882
Adjusted Total Nurse Staffing Hours per Resident per Day
5.38802
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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